Type 2 diabetes, mitochondrial biology and the heart.

Abstract:

:Diabetes is recognized as an independent risk factor for cardiovascular morbidity and mortality. This is due, in large part, to premature atherosclerosis, enhanced thrombogenicity and activation of systemic inflammatory programs with resultant vascular dysfunction. More enigmatic mechanisms underpinning diabetes-associated cardiac pathophysiology include the direct metabolic consequences of this disease on the myocardium. Nevertheless, a role for diabetes-associated disruption in cardiac contractile mechanics and in increasing cardiomyocyte susceptibility to ischemic-stress has been implicated independent of vascular pathology. This review will focus broadly on the direct effects of diabetes on the cardiac myocardium with more specific reference to the role of the modulation of cardiomyocyte mitochondrial function in these disease processes. This focus in part, stems from the growing recognition that in some instances mitochondrial dysfunction is central to the development of insulin resistance and diabetes, and in others, diabetes associated disruption in mitochondrial function exacerbates and accentuates the pathophysiology of diabetes.

journal_name

J Mol Cell Cardiol

authors

Sack MN

doi

10.1016/j.yjmcc.2009.02.001

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

842-9

issue

6

eissn

0022-2828

issn

1095-8584

pii

S0022-2828(09)00060-1

journal_volume

46

pub_type

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